DIVINE HEALTH SERVICES LLC (NPI# 1861712408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861712408 |
| Entity Type | Organization |
| Organization Name | DIVINE HEALTH SERVICES LLC |
| Practice Address |
807 Nashville Hwy. Ste. 10 Suite 210 Columbia TN 38401 |
| Mailing Address |
Po Box 1111 807 Nashville Hwy Ste 10 Ste 10 Columbia TN 38401 |
| Practice Telephone | 9318404119 |
| Practice Fax Number | 9318404121 |
| Mailing Telephone | 9318404119 |
| Mailing Fax Number | 9318404121 |
| Enumeration Date | 2010-06-06 |
| Last Update Date | 2011-04-13 |
| Authorized Official Name | MR. WILLIE D ESMOND (OWNER) |
| Authorized Official Telephone | 9318404119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326554452 | Divine Health Services LLC | Speech-Language Pathologist | 107 Ashley Ave, Lakewood, NJ 08701-4212 | 2017-12-27 |
| Street Address |
807 NASHVILLE HWY. STE. 10 SUITE 210 |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988168 | Tamica Kitching | Home Health | 4611 Hard Scrabble Rd Ste 109-208, Columbia, SC 29229-8584 | 2020-10-08 |
| 1831796515 | Kendrick Elevation and Esteem Project | Home Health | 106 Rowe Cir, Columbia, SC 29212-2511 | 2020-10-05 |
| 1164039871 | Mariah Proctor | Home Health | 1809 Vandiver Dr Ste 105, Columbia, MO 65202-3948 | 2020-09-26 |
| 1083227730 | Tamika Best | Home Health | 315 Mcrae St, Columbia, SC 29203-5472 | 2020-08-24 |
| 1841809506 | Precise Home Care Solutions LLC | Home Health | 811 Main St Ste 15, Columbia, MS 39429-2711 | 2020-07-29 |
| 1760005714 | Karing In Mind, LLC | Home Health | 7356 Garners Ferry Rd Ste 113, Columbia, SC 29209-2146 | 2020-05-26 |
| 1275153629 | Jd Healthcare Services, Inc. | Home Health | 8639 Hayshed Ln, Columbia, MD 21045-2622 | 2020-04-24 |
| 1952920233 | Theresa Marie Rogers | Home Health | 5 Clusters Ct, Columbia, SC 29210-4831 | 2020-04-15 |
| 1497374060 | James Holmes | Home Health | 140 Gills Crossing Rd, Columbia, SC 29223-3295 | 2020-04-13 |
| 1558994061 | Michelle Carolyn Collymore | Home Health | 3402 Maybank St, Columbia, SC 29204-2858 | 2020-02-13 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.